Diagnosis and management of cellulitis

@article{Phoenix2012DiagnosisAM,
  title={Diagnosis and management of cellulitis},
  author={Gokulan Phoenix and Saroj K Das and Meera Joshi},
  journal={BMJ : British Medical Journal},
  year={2012},
  volume={345}
}
#### Summary points Cellulitis is an acute, spreading, pyogenic inflammation of the lower dermis and associated subcutaneous tissue. [...] Key Method#### Sources and selection criteria We searched PubMed and the Cochrane library for recent and clinically relevant cohort studies and randomised controlled trials on cellulitis, using the search terms “cellulitis”, “erysipelas”, “diagnosis”, “investigation”, “recurrence”, “complications” and “management”.Expand
Diagnosis and management of cellulitis and erysipelas.
TLDR
Large-scale controlled trial evidence for specific antimicrobial choices in the treatment of cellulitis and erysipelas is lacking, with national and local guidelines being based on a combination of best evidence, local epidemiology data and expert opinion. Expand
Cellulitis: A Review.
TLDR
Treating predisposing factors can minimize risk of recurrence of cellulitis, and treatment of uncomplicated cellulitis should be directed against Streptococcus and methicillin-sensitive S. aureus. Expand
A Retrospective Study: Erysipelas and Cellulitis Patients’ Profile
TLDR
The correct management could increase the recovery rate, prevent complication and recurrency of erysipelas and cellulitis, and determine a general overview as well as predictive factors of the severity of this acute infectious disease. Expand
Diagnosis and treatment of the invasive extension of bacteria (cellulitis) from chronic wounds utilising point-of-care fluorescence imaging.
TLDR
The utility of point-of-care fluorescence imaging for efficient detection and proactive, targeted management of wound-related cellulitis is demonstrated. Expand
The Profile of Erysipelas and Cellulitis Patients
TLDR
The management of patients with erysipelas and cellulitis had been appropriate based on the diagnosis and treatment guidelines. Expand
Cellulitis, by any other name.
  • H. Chambers
  • Medicine
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2013
“I know it when I see it . . . ,” as Justice Potter Stewart famously said of hard-core pornography. Would that this were the case with cellulitis. In principle, cellulitis is simply defined as anExpand
Early clinical assessment of response to treatment of skin and soft-tissue infections: how can it help clinicians? Perspectives from Europe.
TLDR
The potential impact of assessing clinical response on clinical decision-making in the management of SSTIs in Europe is reviewed, with a focus on emerging therapies. Expand
Reducing Unnecessary Testing in Uncomplicated Skin and Soft Tissue Infections: A Quality Improvement Approach.
TLDR
A interdisciplinary team led a quality improvement project reducing unnecessary laboratory testing in patients with an uSSTI without patient harm, achieving their aim. Expand
Indications for Plain Radiographs in Uncomplicated Lower Extremity Cellulitis.
TLDR
Patients without a recent history of trauma to the affected extremity or the presence of a chronic wound do not appear to warrant XRs, and the establishment of evidence-based guidelines for the treatment of lower-extremity cellulitis has potential to significantly improve clinical efficiency and reduce cost by eliminating unnecessary testing. Expand
Evaluation and Management of Cellulitis and its Local Complications in Diabetic Lower Limb using the New Amit Jain’s Staging System for Cellulitis – A Retrospective study -
TLDR
This is the first study on cellulitis in diabetic lower limb through the new Amit Jain’s staging system from Indian subcontinent, and it is shown that stage 2 is the commonest presentation to a hospital. Expand
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References

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Interventions for cellulitis and erysipelas.
TLDR
There is a need for trials to evaluate the efficacy of oral antibiotics against intravenous antibiotics in the community setting as there are service implications for cost and comfort. Expand
Practice guidelines for the diagnosis and management of skin and soft-tissue infections.
  • D. Stevens, A. Bisno, +8 authors J. Wade
  • Medicine
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2005
TLDR
It is the recommendation of this committee that patients with soft-tissue infection be distinguished by signs and symptoms of systemic toxicity (e.g., fever or hypothermia, tachycardia [heart rate,] and so on). Expand
Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients.
TLDR
SSTI in hospital is associated with significant mortality, and choice of empirical therapy is not evidence based, with significant under-treatment of severely ill patients. Expand
Management and morbidity of cellulitis of the leg
TLDR
Important but often neglected therapeutic suggestions are the inclusion of benzylpenicillin in all cases without a contraindication, assessment and treatment of tinea pedis, use of support hosiery, and serological testing for streptococci to confirm the diagnosis in retrospect. Expand
Diagnostic accuracy in patients admitted to hospitals with cellulitis.
TLDR
The capability of this VCDDSS to assist primary care physicians with generating a more accurate differential diagnosis (DDx) when confronted with patients presenting with possible skin infections is demonstrated. Expand
The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department.
TLDR
Soft-tissue US changes physician management in approximately half of patients in the ED with clinical cellulitis, which may guide management of cellulitis by detection of occult abscess, prevention of invasive procedures, and guidance for further imaging or consultation. Expand
Staphylococcus aureus is the most common identified cause of cellulitis: a systematic review
TLDR
The most common aetiology of cellulitis with intact skin, when it can be determined, is S. aureus, outnumbering group A streptococcus by a ratio of nearly 2:1. Expand
Cost-effectiveness of blood cultures for adult patients with cellulitis.
TLDR
The yield of blood cultures is very low, has a marginal impact on clinical management, and does not appear to be cost-effective for most patients with cellulitis. Expand
Tetracyclines as an Oral Treatment Option for Patients with Community Onset Skin and Soft Tissue Infections Caused by Methicillin-Resistant Staphylococcus aureus
TLDR
The expanded-spectrum tetracyclines appear to be a reasonable oral treatment option for patients with community onset MRSA SSTI in areas where MRSA strains are susceptible to the tetrACYclines. Expand
Infections of Skin and Soft Tissue
TLDR
Infections of skin and soft tissue (SSTIs) encompass a diverse set of conditions, but there are commonalities that justify their consideration as a group and this framework is also useful for clinical description. Expand
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